| Objective:Dyslipidemia is an important independent variable risk factor for cardiovascular and cerebrovascular diseases.The aim of the study was to investigate the prevalence,awareness,treatment,control rates of dyslipidemia and their influencing factors in urban and rural residents aged ≥ 40 years in Shenyang,China.So as to provide a reference for the prevention and control of dyslipidemia in Shenyang area.Methods:A cross-sectional epidemiological survey was conducted among residents aged≥40 years from urban communities and rural towns in Shenyang by means of questionnaire,physical examination and laboratory examination using multi-stage cluster random sampling method.Results: A total of 3977 respondents were enrolled,including 2779 cases of dyslipidemia.The prevalence of dyslipidemia was 69.9%,and was higher in urban than in rural.There was no difference in the prevalence of dyslipidemia between men and women.Urban residence,family history of stroke,hypertension and diabetes are the related factors of dyslipidemia.Among the 2779 patients with dyslipidemia,the awareness,treatment and control rates of dyslipidemia were 69.9%,50.8%,3.5% and7.8%,respectively.Conclusion:A total of 3977 respondents were included,including 2779 patients with dyslipidemia,and the prevalence of dyslipidemia was 69.9%.The prevalence of dyslipidemia was higher in urban areas than in rural areas(72.8% in urban areas vs.65.4% in rural areas,P< 0.001),and there was no difference between males and females(69.1% in male areas vs.70.5% in female areas,P=0.363).Among the 2779 patients with dyslipidemia,the awareness rate of dyslipidemia was 50.8%,the treatment rate of lipid-lowering drugs was 3.5%,and the control rate of fasting lipidemia was 7.8%.Urban residence(OR=1.29,95%CI: 1.06-1.58),family history of stroke(OR=1.71,95%CI: 1.35-2.17),hypertension(OR=1.28,95%CI: 1.06-1.55)and diabetes(OR=1.56,95%CI: 1.26-1.93)were independent factors for the prevalence of dyslipidemia.Living in the city(OR=89.60,95%CI: 53.28-150.69),female(OR=1.86,95%CI: 1.43-2.42),family history of stroke(OR=5.36,95%CI: 3.58-8.01),hypertension(OR=2.80,95%CI:2.03-3.87),smoking(OR=1.73,95%CI: 1.17-2.55)and taste moderate OR salty(moderate: OR=2.95,95%CI: 1.52-5.72;Salty: OR=3.63,95%CI: 1.86-7.10)was positively correlated with the awareness rate of dyslipidemia;Regular exercise(OR=0.53,95%CI: 0.40-0.69)and eating fruit more than 2 days a week(3-4 days/week: OR=0.53,95%CI: 0.31-0.92;≥5 days/week: OR=0.45,95%CI: 0.25-0.79)was negatively correlated with the awareness of dyslipidemia.Previous stroke(OR=2.08,95%CI: 1.12-3.88),family history of stroke(OR=1.84,95%CI: 1.17-2.90),hypertension(OR=1.92,95%CI:1.20-3.06)and diabetes(OR=2.34,95%CI: 1.49-3.65)were positively correlated with the treatment rate of dyslipidemia.Regular exercise(OR:0.49,95%CI: 0.32-0.75)was inversely associated with the rate of treatment for dyslipidemia.Urban residence(OR=7.44,95%CI: 3.34-16.57),family history of stroke(OR=2.05,95%CI: 1.50-2.82)and hypertension(OR=2.06,95%CI: 1.48-2.86)were positively correlated with the control rate of dyslipidemia.Regular exercise(OR=0.60,95%CI: 0.45-0.82)was inversely associated with the control rate of dyslipidemia.Total population prevalence of different lipid subtypes from high to low in turn for low high-density lipoprotein cholesterol(L-HDL)19.8%,high blood triglycerides(H-TG)19.7%,high density lipoprotein cholesterol(H-LDL)10.8%,hypercholesterolemia(H-TC)9.9%,and the prevalence of different lipid subtype shows there are different between different baseline characteristics of the investigators. |
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